[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-007":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-111-2-產兒科護理學-007","nurse-111-2-maternal-pediatric-007",111,2,7,"有關我國全民健康保險給付之產前檢查時間，一般孕婦常規接受妊娠糖尿病篩檢的週數為何？",{"A":14,"B":15,"C":16,"D":17},"18～20 週","24～28 週","30～34 週","35～37 週","B",null,[],"本題考點在我國全民健保產前檢查的妊娠糖尿病篩檢時程。依國健署產檢建議與GDM篩檢指引，一般孕婦於妊娠24～28週接受妊娠糖尿病篩檢（口服葡萄糖耐受試驗），此時胎盤泌乳素等抗胰島素荷爾蒙分泌達高峰，最能偵測糖代謝異常，故選B。考點在於記住24～28週此關鍵時窗。選項A 18～20週過早，此時抗胰島素荷爾蒙尚未明顯升高，偽陰性高；選項C 30～34週與選項D 35～37週都太晚，若此時才確診將延誤血糖控制與胎兒巨嬰、羊水過多等併發症之預防時機。三個錯項都偏離胎盤荷爾蒙升高造成生理性胰島素阻抗的高峰時段。","妊娠糖尿病的病生理源於胎盤分泌的人類胎盤泌乳素（hPL）、黃體素、皮質醇等拮抗胰島素，使孕婦出現生理性胰島素阻抗，於中後期最明顯，故篩檢定在24～28週。臨床採75克OGTT（一階段）或50克葡萄糖負荷篩檢後再做100克確診（兩階段）。有高危因子者（肥胖、GDM史、家族史）則於第一次產檢即提早篩檢，未過再於24～28週複檢。",[24,26,29,31],{"term":25,"count":10},"胎盤泌乳素",{"term":27,"count":28},"妊娠糖尿病篩檢",1,{"term":30,"count":28},"24至28週",{"term":32,"count":28},"口服葡萄糖耐受試驗",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-008","有關懷孕期間血液系統的變化，下列敘述何者錯誤？",8,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-112-1-maternal-pediatric-024","吳女士，G 1 P 1 ，產後進行親子同室，其先生抱起寶寶，眼神專注凝視寶貝，並輕聲細語說：「我是爸爸，叫爸爸。」下列描述父親與新生兒發展依附之行為，何者最適當？",24,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-038","有關人工授精之適應症，下列何者錯誤？",38,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-006","第三孕期婦女抱怨下肢腫脹，傍晚時鞋子就穿不下，下列護理指導何者不適當？",6,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":28},"nurse-115-1-maternal-pediatric-010","有關生產姿勢，下列敘述何者最不適當？",10,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-024","林女士採陰道生產，會陰四度裂傷。在產後第 2 天可以教導她執行何項產後運動？",106,"2026-09-04",1788510739030]